Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,737.80	Professional		$891.25	$1,122.02	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $4,073.80 / $5,011.87	Professional		$1,698.24	$4,073.80	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,290.87	Facility		$1,348.96	$1,698.24	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,778.28 / $2,454.71	Professional		$1,659.59	$1,778.28	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $2,238.72	Facility		$1,778.28	$1,862.09	$2,238.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,238.72	Professional		$1,862.09	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $2,630.27	Facility		$1,047.13	$1,778.28	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,949.84 / $2,344.23	Professional		$87.10	$1,949.84	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,162.28 / $8,511.38	Facility		$1,862.09	$3,162.28	$8,511.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,511.89 / $2,511.89	Professional		$2,290.87	$2,511.89	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $4,073.80	Facility		$933.25	$1,258.93	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,778.28	Professional		$851.14	$933.25	$1,778.28